Individual
MR. HANNA C ILIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
207 W LOCUST ST, LAFAYETTE, TN 37083-1710
(615) 666-6425
(615) 666-3261
Mailing address
207 W LOCUST ST, LAFAYETTE, TN 37083-1710
(615) 666-6425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD30470
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3828728
—
TN
Enumeration date
10/27/2005
Last updated
10/03/2024
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